Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $9,496.00 / $11,627.00	Facility		$311.04	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $311.04 / $317.70	Professional		$308.83	$311.04	$317.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.01 / $371.61 / $646.54	Professional		$298.01	$371.61	$646.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.97 / $5,002.17 / $10,185.42	Facility		$331.97	$5,002.17	$10,185.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.30 / $5,194.56 / $9,166.87	Professional		$346.30	$5,194.56	$9,166.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.19 / $407.42 / $724.04	Professional		$311.19	$407.42	$724.04